DiversiMed, Inc. DiversiMed, Inc.Let the Eagle Eye of DMI Maximize YOUR Health Care Dollars
Precertification - Preauthorization

At DiversiMed, Inc. we believe that preauthorization and precertification are the cornerstones of cost containment. It is through professional prospective utilization review that you begin to maximize your healthcare dollars -- by identifying potentially costly claims before the spending starts, not after.

Our staff is comprised of fully licensed healthcare professionals, each of whom is clinically expert. Physician Advisor support, from a clinician who is Board Certified in Utilization Review and Quality Assurance, is available for all denials.

Your benefit guidelines are the basis we will use to establish the services that we preauthorize or precertify for your insureds, thus delivering custom tailored cost containment. Custom Tailored Cost Containment Services from DMI
There are three components of the DMI utilization review process:

Prospective, Concurrent, Retrospective

Fast Response is Essential
Response time is immediate at DMI for calls received during normal business hours -- our Utilization Review staff is always available from 8:00 am to 5:00 pm Eastern Standard Time.

During nonroutine hours, calls are answered by our live operator and addressed within two hours of the next business morning. There is always a Registered Nurse on call for emergencies. The DMI toll free numbers are national lines, for the convenience of your plan members.

Reports Tell You the Whole Story
Reports are our specialty. You receive same day hard copies via fax of all Utilization Review determinations, with monthly outcome reports. Our database is quite purposely intricate, expressly for the purpose of delivering collected data in any indexed format you desire. Reports are our specialty
You can expect savings similar to those shown below when DMI precertifies and preauthorizes healthcare claims for your insureds:
Utilization Review Saves Healthcare Dollars
Group Name Number
of Lives
LOS
Requested
Initial
Days
Certified
Certified
Extensions
Days
Saved
Savings
R and B
Case
Load

A

4,377

294

135

86

73

$32,832.00

48

B

703

4

3

0

1

$386.00

1

C

1,912

72

42

14

16

$10,677.00

10

D

979

143

69

37

37

$17,365.00

19

E

18,130

977

480

269

228

$107,021.00

205

F

2,038

59

26

14

19

$11,017.00

16

G

1,517

87

37

23

27

$14,714.00

15

H

1,284

65

23

30

12

$5,132.00

8

I

513

7

3

1

3

$1,302.00

3

J

195

24

16

6

2

$892.00

3

Totals

31,648

1,732

834

480

418

$201,338.00

328

DMI Call DiversiMed today! Begin maximizing your healthcare savings ... and provide your insureds maximum benefits through precertification and preauthorization of services based on your guidelines.

The Eagle Eye of DMI

DiversiMed, Inc.
P.O. Box 21505
Tampa, FL 33622-1505
DiversiMed, Inc.
Toll-free (US/Canada): (800) 282-7032
Direct: (813) 628-4488
Fax: (813) 620-3733
dmi@diversimed.com

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